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Panchakarma

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Panchakarma ("Pancha" means five and "karma" means treatment) is done to detoxify the body according to Ayurveda. The five procedures are claimed to eliminate the vitiated Doshas from the body. They are Vamana (Emesis), Virechana (Purgation), Niroohavasti (Decoction enema), Nasya (Instillation of medicine through nostrils), and Anuvasanavasti (Oil enema). Nirooha, Anuvasana and Uttaravasthi form the basic types of Vasti. The term Panchasodhana includes Vamana, Virechana, Nasya, Nirooha, and Rakthamoksha (Blood letting).

Panchakarma is a specialized job to be executed under the supervision of an Ayurvedic expert. It implies some restriction to be observed by the patient and also some free time to be dedicated exclusively. For this purpose one should follow the procedure whole-heartedly fully honoring it. Each procedure is divided into three parts

Pre procedure (Purva Karma) Pre operative. Main procedure (Pradhana Karma) operative. Post procedure (Paschat Karma) post operative.


Pre Panchakarma procedures

Pre operative – this procedure aims at separating the doshas and the other body elements and also to bring back the doshas to these original site in the alimentary canal; so that they can be expelled out easily from the body. There are two procedures required to be performed as pre-operatives, viz. Snehana and Svedana.

Snehana: Snehana means Oleation or to make smooth. (मार्दव) It is a lubrication of the body mainly with the use of oil or ghee ( clarified butter ) . The person is asked to take medicated oil or ghee in increasing quantity till some particular signs and symptoms occur and that much quantity is consumed which takes nearly 12 hours to digest. The person has to be observe some restriction such as drinking only hot water through out the day, no sleep during day time, eating food only when hungry, etc.

Swedana: This procedure is very important to liquefy the vitiated Doshas inside the body (which are already made soft by oleation / स्नेहन procedure), later to be brought to Koshtha (कोष्ठ), which will be eliminated by inducing either Vamana / Virechana. Fomentation especially in the form of a steam bath to produce sweating is ‘Svedana’. This helps liquification of doshas so that they can easily tickle down to alimentary canal. Generally this is performed with external snehana.

P.S. – Snehana and svedana can also be used independently as a treatment for vata disorders like arthritis, backache, lumbago etc.


References

  1. Mishra L, Singh BB, Dagenais S., Altern Ther Health Med. 2001 Mar Healthcare and disease management in Ayurveda (Archived on 25 May 2013)
  2. Sharma, A. K. (2003). "Panchkarma Therapy in Ayurvedic Medicine". In Mishra, Lakshmi Chandra (ed.). Scientific Basis for Ayurvedic Therapies. Boca Raton, FL: CRC Press. p. 43. ISBN 0-8493-1366-X.
  3. Gupta B, Mahapatra SC, Makhija R, Kumar A, Jirankalgikar N, Padhi MM, Devalla RB, Ayu. 2011 Observations on Vamana procedure in healthy volunteers (Archived on 25 May 2013)
  4. Samhita, Sharangadhara (2006). "Nasya Vidhi Uttarakhanda 8/63". In Parashuram Shastri Vidyasagar (ed.). Sharangadhara Samhita Bhishakvara Adhamalla virachita Deepika-Pandit Kasiram vaidya virachita-gudhartha deepika ya cha samvalita (2006 ed.). Varanasi, India: Chaukambha Surabharathi Prakashan. p. 346.
  5. ^ Hridaya, Ashtanga (2009). "Siravyadha vidhi Suthrasthana 27/8,Dwividhopakramaneeyam Suthrasthana 14/5". In Bhishagacharya Harishastri Paradkar Vaidya (ed.). Ashtanaga Hridaya Srimad Arunadatta virachita Sarvangasundarakhya vyakhyaya Hemadri praneetaya Ayurveda Rasayanakhya teekaya cha samullasitham. Varanasi, India: Chowkhamba Krishnadas Academy. p. 327, 223. ISBN 81-218-0046-3. Cite error: The named reference "Ashtanga Hridaya" was defined multiple times with different content (see the help page).
  6. Samgraha, Ashtanga (2012). "Vasthi Vidhi Suthrasthana 28/5". In Dr Shivprasad Sharma (ed.). Ashtanaga Samgraha Indu virachita Sasilekha vyakhyaya samanvita. Varanasi, India: Chowkhamba Sanskrit Series Office. p. 213. ISBN 81-7080-186-9.
  7. http://ayurvedamysore.org/treatments/panchakarma/
  8. http://www.ayurvedamrita.com/panchakarma2.htm
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